Active NPI
Jeffrey Steven Blau, M.D.
- Diagnostic Radiology Physician
- New Britain, CT
National Provider Identifier
1730149469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 013980
- Practice address
- 40 Hart St
New Britain, CT 06052-1743 - Phone
- (860) 229-2059
- Fax
- (860) 229-8495
- NPI assigned
- Mar 25, 2006
- Last updated
- May 20, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 013980 | CT | Primary |
Addresses
Primary practice location
40 Hart St
New Britain, CT 06052-1743
Mailing address
40 Hart St
New Britain, CT 06052-1743
Phone (860) 229-2059
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010013980CT03 | Other | CT | ANTHEM BC/BS |
| 001139807 | Medicaid | CT | |
| 300023206 | Other | CT | RAILROAD MEDICARE |
| 010013980CT07 | Other | CT | ANTHEM BC/BS |
| 010013980CT15 | Other | CT | ANTHEM BC/BS |
| 010013980CT16 | Other | CT | ANTHEM BC/BS |
| 300047492 | Other | CT | RAILROAD MEDICARE |
| 010013980CT04 | Other | CT | ANTHEM BC/BS |
| 010013980CT06 | Other | CT | ANTHEM BC/BS |
| 3000104747 | Other | CT | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13980 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Britain Radiological Assoc.,PC | Diagnostic Radiology | Past | Accepting new patients |
| Meriden Imaging Center, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Mandell & Blau, MD's PC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Women's Imaging of Buckland Hills
- Diagnostic Radiology Physician
- South Windsor, CT
- NPI 1811007545
-
- Diagnostic Radiology Physician
- Wallingford, CT
- NPI 1508812561
-
dba MRI of New Britain
- Diagnostic Radiology Physician
- New Britain, CT
- NPI 1386823086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1730149469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 HART ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060521743",
"telephone_number": "860-229-2059",
"fax_number": "860-229-8495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 HART ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060521743",
"telephone_number": "860-229-2059",
"fax_number": "860-229-8495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAU",
"first_name": "JEFFREY",
"middle_name": "STEVEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-25",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "013980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "010013980CT03",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001139807",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300023206",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "010013980CT07",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "010013980CT15",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "010013980CT16",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300047492",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "010013980CT04",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "010013980CT06",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "3000104747",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.